<h1>Register for Mias SocialNet</h1>

<form>
	<fieldset>
		<legend>Your name</legend>
		<label>
			First: 
			<input type="text" name="firstName" />
		</label>

		<label>
			Last: 
			<input type="text" name="lastName" />
		</label>
	</fieldset>

	<fieldset>
		<legend>Email Address</legend>
		<label>
			Email: 
			<input type="text" name="email" />
		</label>
		<br />
		<label>
			Confirm email:
			<input type="text" name="cemail" />
		</label>
	</fieldset>

	<fieldset>
		<legend>Password</legend>
		<label>
			Password:
			<input type="password" name="password" />
		</label>
		<br />
		<label>
			Confirm Password:
			<input type="password" name="cpassword" />
		</label>
	</fieldset>

	<p>
		<input type="submit" value="Register Now!"/>
	</p>
</form>